Moyo unopfuura kuvhiya

Kuvhiya kwemoyo kwepashure kunogadzira nzira nyowani, inonzi yekupfuura, yeropa neoksijeni kutenderera kutenderera kuti usvike pamwoyo wako.

Usati wavhiyiwa, iwe unowana anesthesia yakajairika. Iwe unenge wakarara (usingazivi) uye usina kurwadziwa panguva yekuvhiyiwa.

Paunenge uchinge usina chaunoziva, chiremba wezve moyo anozoita 8- kusvika 10-inch (20.5 kusvika 25.5 cm) yekucheka cheka mukati mechipfuva chako. Pfupa rako repazamu richaparadzaniswa kuti rive nekuvhura. Izvi zvinobvumira chiremba wako kuti aone moyo wako neaorta, iro reropa hombe rinotungamira kubva pamoyo kuenda kune imwe muviri wako wese.

Vazhinji vanhu vane coronary bypass kuvhiyiwa vakabatana nemoyo-mapapu yekupfuura muchina, kana pombi yekupfuura.

• Moyo wako unomira paunenge wakabatana nemuchina uyu.
• Muchina uyu unoita basa remoyo wako nemapapu apo moyo wako wakamiswa kuti uvhiywe. Mushini unowedzera okisijeni muropa rako, unofambisa ropa nemuviri wako, uye unobvisa carbon dioxide.

Imwe mhando yekupfuura kuvhiya haishandisi moyo-mapapu yekupfuura muchina. Maitiro acho anoitwa moyo wako uchiri kurova. Izvi zvinonzi off-pombi coronary artery yekupfuura, kana OPCAB.

Kugadzira yekupfuura kubatanidza:

• Chiremba anotora tsinga kana tsinga kubva kune chimwe chikamu chemuviri wako wochishandisa kugadzira nzira (kana kubatanidza) yakakomberedza nzvimbo yakavharika mutsinga yako. Chiremba wako anogona kushandisa tsinga, inonzi saphenous vein, kubva pagumbo rako.
• Kuti usvike mutsinga iyi, kucheka kwekuvhiya kunoitwa mukati megumbo rako, pakati pegumbo rako nekugomera. Mumwe mugumo wekunamira uchasimbiswa kune yako coronary artery. Iyo imwe yekupedzisira ichave yakasonerwa kune yakavhurwa yakaitwa mune yako aorta.
• Ropa remidziyo muchipfuva chako, inonzi yemukati mammary arteri (IMA), inogona zvakare kushandiswa seinobatanidza. Mumwe mugumo wetsinga iyi watobatanidzwa kubazi reaorta yako. Iwo mumwe mugumo wakasungirirwa kune yako coronary artery.
• Mimwe arteri inogona zvakare kushandiswa kumabhanditi mukupfuura kuvhiya. Iyo yakajairika ndeyeiyo radial artery muchanza chako.

Mushure mekunge kumera kwagadzirwa, pfupa rako repazamu richavharwa newaya. Idzi waya dzinogara mukati mako. Iyo yekuvhiya yakatemwa ichavharwa nematambo.

Kuvhiya uku kunogona kutora maawa mana kusvika matanhatu. Mushure mekuvhiyiwa, uchaendeswa kuchipatara chevanorwarisa.

Iwe ungangoda iyi maitiro kana iwe uine kuvhara mune imwe kana akawanda ako coronary arteri. Coronary arteries ndiyo midziyo inopa moyo wako neoksijeni uye zvinovaka muviri zvinotakurwa muropa rako.

Kana imwe kana yakawanda yetsinga dzekoronari dzikavharika zvishoma kana kuvharika, moyo wako hauwane ropa rakaringana. Ichi chinonzi ischemic moyo chirwere, kana coronary tsinga chirwere (CAD). Inogona kukonzera kurwadziwa muchipfuva (angina).

Coronary artery inopfuura nekuvhiya inogona kushandiswa kugadzirisa kuyerera kweropa kumoyo wako. Chiremba wako anogona kunge akatanga atanga kukurapa nemishonga. Iwe unogona kunge wakamboedza zvekare kurovedza muviri uye dhayeti shanduko, kana angioplasty nekunhuwa.

CAD yakasiyana nemunhu kumunhu. Nzira iyo inoonekwa uye kurapwa nayo inosiyana. Moyo wekupfuura kuvhiya ingori imwe yemhando yekurapa.

Dzimwe nzira dzinogona kushandiswa:

• Angioplasty uye stent kuiswa
• Moyo wekupfuura kuvhiya - zvishoma zvinokanganisa

Ngozi dzekuvhiya chero dzinosanganisira:

• Kubuda ropa
• Utachiona
• Rufu

Njodzi dzinogona kuitika kubva pakuvhiya coronary bypass dzinosanganisira:

• Utachiona, kusanganisira hutachiona hwechipfuva, izvo zvinowanzoitika kana wakanyanya, uine chirwere cheshuga, kana kuti watove nekuvhiyiwa uku.
• Kumira kurova kwemoyo
• Kurohwa
• Matambudziko emoyo mutinhimira
• Itsvo kutadza
• Kukundikana kwemapapu
• Kushungurudzika uye kusanduka kwemamiriro
• Low fever, kuneta, uye kurwadziwa pachipfuva, pamwechete zvinonzi postpericardiotomy syndrome, inogona kupera kusvika kumwedzi mitanhatu
• Kurasikirwa kwekurangarira, kurasikirwa kwekujeka kwepfungwa, kana "kufunga kwakashata"

Nguva dzose udza mupi wako wezvehutano kuti ndeapi madhiragi auri kutora, kunyangwe madhiragi kana mahebhu awakatenga pasina mushonga.

Munguva yemazuva usati wavhiyiwa:

• Kweye-1-vhiki nguva usati wavhiyiwa, unogona kukumbirwa kuti urege kutora zvinodhaka zvinoita kuti ropa rako rigwinike. Izvi zvinogona kukonzera kuwedzera kubuda ropa panguva yekuvhiyiwa. Zvinosanganisira aspirin, ibuprofen (yakadai saAdvil naMotrin), naproxen (yakadai saAleve naNaprosyn), nemimwe mishonga yakafanana. Kana iwe uri kutora clopidogrel (Plavix), taura nachiremba wako nezve nguva yekurega kuitora.
• Bvunza kuti ndeapi madhiragi aunofanira kutora pazuva rekuvhiyiwa.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti akubatsire.
• Bata wako mupi kana iwe uine dzihwa, dzihwa, fivha, herpes kuputika, kana chero chimwe chirwere.
• Gadzirira imba yako kuti ugone kufamba famba zviri nyore paunodzoka kubva kuchipatara.

Zuva rakapfuura kuvhiyiwa kwako:

• Shower uye shampoo zvakanaka.
• Iwe unogona kukumbirwa kushambidza muviri wako wese pazasi pemutsipa wako nesipo yakakosha. Svina chipfuva chako kaviri kana katatu nesipo iyi.
• Ita shuwa kuti unozvomesa pachako.

Pazuva rekuvhiyiwa:

• Iwe unozokumbirwa kuti usanwa kana kudya chero chinhu pakati pehusiku husiku pamberi pekuvhiyiwa kwako. Sukurudza muromo wako nemvura kana ichinzwa kuoma, asi chenjera kuti usamedze.
• Tora chero mishonga yawakanzi utore nekamwe kapfu kemvura.

Unozoudzwa nguva yekuuya kuchipatara.

Mushure mekuvhiya, iwe uchapedza mazuva matatu kusvika manomwe muchipatara. Iwe uchapedza husiku hwekutanga munzvimbo yevanotarisirwa (ICU). Iwe unozotamisirwa kune yenguva dzose kana yekuchinja imba yekutarisira mukati maawa makumi maviri nemasere kusvika makumi mana mushure mekuita.

Maviri kusvika matatu machubhu anozove ari muchipfuva chako kuburitsa fluid kubva kumativi emoyo wako. Ivo vanowanzo bviswa 1 kusvika mazuva matatu mushure mekuvhiyiwa.

Iwe unogona kunge uine catheter (inoshanduka chubhu) mudundira rako kudhonza weti. Iwe unogona zvakare kuve nemitsinga (IV) mitsara yemvura. Iwe unenge wakanamatira kumachina anoongorora yako kurova, tembiricha, uye kufema. Vanamukoti vanogara vachiona vatariri vako.

Unogona kunge uine tambo diki dzinoverengeka dzakabatana nepacemaker, iyo inoburitswa usati wabuda.

Iwe unozokurudzirwa kutangazve zvimwe zviitiko uye iwe unogona kutanga chirongwa chemoyo chekugadzirisa mukati memazuva mashoma.

Zvinotora mavhiki mana kusvika matanhatu kuti utange kunzwa zvirinani mushure mekuvhiyiwa. Vako vanokupa vanokuudza maitiro ekuzvichengeta wega kumba mushure mekuvhiyiwa.

Kudzoreredza kubva pakuvhiya kunotora nguva. Unogona kusaona iwo mabhenefiti akazara ekuvhiyiwa kwako kwemwedzi mitatu kusvika kumitanhatu. Muvanhu vazhinji vane moyo inopfuura nekuvhiya, iwo mabara anogara akavhurika uye anoshanda mushe kwemakore mazhinji.

Kuvhiya uku hakudziviriri coronary arter blockage kubva mukudzoka. Iwe unogona kuita zvinhu zvakawanda kudzora maitiro aya pasi, kusanganisira:

• Kwete kusvuta
• Kudya kudya kunovaka moyo
• Kuwana kurovedza muviri nguva dzose
• Kurapa BP
• Kudzora yakakwira ropa shuga (kana iwe uine chirwere cheshuga) uye yakakwira cholesterol

Kunze-pombi coronary arteri inopfuura; OPCAB; Kurova kuvhiya moyo; Bypass kuvhiya - moyo; CABG; Coronary arteri inopfuura kubatanidzwa; Coronary artery inopfuura nekuvhiya; Coronary yekupfuura kuvhiya; Coronary tsinga chirwere - CABG; CAD - CABG; Angina - CABG

• Angina - kubuda
• Angina - chii chekubvunza chiremba wako
• Angina - kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirwara pachipfuva
• Angioplasty uye stent - moyo - kubuda
• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Kuchengetedzwa kwekugezera kwevakuru
• Kuva unoshingaira mushure mekurwadziwa kwemoyo wako
• Kuva unoshingaira kana uine chirwere chemwoyo
• Butter, majarini, uye mafuta ekubikisa
• Catheterization yemwoyo - kubuda
• Cholesterol uye mararamiro
• Cholesterol - kurapwa kwemishonga
• Kudzora kukwira kweropa rako
• Mafuta echikafu akatsanangura
• Kurumidza kudya matipi
• Kurwadziwa kwemoyo - kubuda
• Kurwisa kwemoyo - chii chekubvunza chiremba wako
• Kuvhiya kwepamoyo - kubuda
• Chirwere chemwoyo - njodzi zvinhu
• Mwoyo pacemaker - kubuda
• Maitiro ekuverenga zvinyorwa zvekudya
• Kudya kwakaderera-munyu
• Kudya kweMediterranean
• Kudzivirira kudonha
• Kuchengeta ronda rekuvhiya - rakavhurika
• Paunenge uine kusvotwa uye kurutsa

• Moyo - pamberi pekutarisa
• Mashure emoyo arteri
• Anterior moyo arteri
• Atherosclerosis
• Moyo unopfuura kuvhiya - akateedzana
• Moyo unopfuura kuvhiya incision

Al-Atassi T, Toeg HD, Chan V, Ruel M. Coronary arteri inopfuura kubatanidza. Mune: Sellke FW, del Nido PJ, Swanson SJ, eds. Sabiston uye Spencer Kuvhiya kweChipfuva. 9th ed. Philadelphia, PA: Elsevier; 2016: chits 88.

Hillis LD, Smith PK, Anderson JL, et al. 2011 ACCF / AHA nhungamiro yecoronary artery bypass graft surgery: mushumo weAmerican College yeCardiology Foundation / American Heart Association Task Force pane Dzidzira Maitiro. Kutenderera. 2011; 124 (23): e652-e735. PMID: 22064599 pubmed.ncbi.nlm.nih.gov/22064599/.

Kulik A, Ruel M, Jneid H, uye al. Sekondari kudzivirira mushure mecoronary artery inopfuura yekuvhiya graft: chirevo chesainzi kubva kuAmerican Heart Association. Kutenderera. 2015; 131 (10): 927-964. PMID: 25679302 pubmed.ncbi.nlm.nih.gov/25679302/.

Mangwana DA, de Lemos JA. Yakasimba ischemic chirwere chemoyo. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chits. 61.

Omer S, Cornwell LD, Bakaeen FG. Kuwana chirwere chemoyo: coronary insufficiency. Mu: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 59.